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QARR: Managing Preventive Care for Adults by Payer

This is a chart based on Quality Assurance Reporting Requirements: Beginning 2008.

Row numberMeasurement YearPayerPlan IDPlan NameDomainSub DomainMeasure DescriptionMeasureMethod of Data CollectionEligible PopulationDenominatorNumeratorRateLevel of SignificancePercentile 90thPercentile 75thPercentile 50thPercentile 25thPercentile 10th
12013HIV Special Needs PlansStatewide AverageAdult HealthManaging Preventive Care for AdultsAdult BMI AssessmentAdult BMIHybrid Review681082268883.6786.1386.1383.781.2781.27
22013Commercial PPOStatewide AverageAdult HealthManaging Preventive Care for AdultsAdult BMI AssessmentAdult BMIHybrid Review20161913193205763.1385.7171.9964.158.7948.38
32013Commercial HMOStatewide AverageAdult HealthManaging Preventive Care for AdultsAdult BMI AssessmentAdult BMIHybrid Review14740984071312477.9689.7886.881.9563.1361.06
42013Medicaid Managed CareStatewide AverageAdult HealthManaging Preventive Care for AdultsAdult BMI AssessmentAdult BMIHybrid Review9014216659572085.4691.4889.4286.9983.5178.7
52013Commercial PPOStatewide AverageAdult HealthManaging Preventive Care for AdultsAspirin UseAspirin UseCAHPS Survey73833144.855547.9644.8241.7535.44
62013Commercial HMOStatewide AverageAdult HealthManaging Preventive Care for AdultsAspirin UseAspirin UseCAHPS Survey124756044.8652.2550.8743.44038.76
72013HIV Special Needs PlansStatewide AverageAdult HealthManaging Preventive Care for AdultsAspirin UseAspirin UseCAHPS Survey3138627.4831.3131.3126.472525
82013Medicaid Managed CareStatewide AverageAdult HealthManaging Preventive Care for AdultsAspirin UseAspirin UseCAHPS Survey55915728.0934.2933.3329.7323.2617.65
92013Commercial HMOStatewide AverageAdult HealthManaging Preventive Care for AdultsColon Cancer ScreeningColon Cancer ScreenHybrid Review6948784665288563.7667.1566.3965.0359.3153.87
102013Medicaid Managed CareStatewide AverageAdult HealthManaging Preventive Care for AdultsColon Cancer ScreeningColon Cancer ScreenHybrid Review2858976660362759.3964.2360.3655.2747.3345.5
112013HIV Special Needs PlansStatewide AverageAdult HealthManaging Preventive Care for AdultsColon Cancer ScreeningColon Cancer ScreenHybrid Review306382248659.2761.861.859.1356.4556.45
122013Commercial PPOStatewide AverageAdult HealthManaging Preventive Care for AdultsColon Cancer ScreeningColon Cancer ScreenHybrid Review980299206261098863.8969.1463.3857.1155.4552.03
132013Medicaid Managed CareStatewide AverageAdult HealthManaging Preventive Care for AdultsAnnual Dental Visit (Ages 19-21)Dental Visits 19-21yrAdministrative Review1139421139425023244.0946.0343.3642.1139.9636.2
142013Commercial PPOStatewide AverageAdult HealthManaging Preventive Care for AdultsDiscussion of Aspirin Risks and BenefitsDiscuss AspirinCAHPS Survey193895249.1254.1552.7549.3845.0938.28
152013Medicaid Managed CareStatewide AverageAdult HealthManaging Preventive Care for AdultsDiscussion of Aspirin Risks and BenefitsDiscuss AspirinCAHPS Survey120047139.2545.4542.6438.8535.6432.86
162013Commercial HMOStatewide AverageAdult HealthManaging Preventive Care for AdultsDiscussion of Aspirin Risks and BenefitsDiscuss AspirinCAHPS Survey3061146447.8352.6152.5847.2144.1743.01
172013HIV Special Needs PlansStatewide AverageAdult HealthManaging Preventive Care for AdultsDiscussion of Aspirin Risks and BenefitsDiscuss AspirinCAHPS Survey56529251.6852.8152.8152.365050
182013Commercial HMOStatewide AverageAdult HealthManaging Preventive Care for AdultsFlu Shot for AdultsFlu Shot for AdultsCAHPS Survey3182154948.6854.7553.9849.8442.4139.51
192013Commercial PPOStatewide AverageAdult HealthManaging Preventive Care for AdultsFlu Shot for AdultsFlu Shot for AdultsCAHPS Survey2265124955.147555.251.1546.5840
202013Medicaid Managed CareStatewide AverageAdult HealthManaging Preventive Care for AdultsFlu Shot for AdultsFlu Shot for AdultsCAHPS Survey202989243.9648.8446.6344.1941.8638.52
212013HIV Special Needs PlansStatewide AverageAdult HealthManaging Preventive Care for AdultsFlu Shot for AdultsFlu Shot for AdultsCAHPS Survey76857374.6178.0778.0772.9172.5872.58

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Open Data NY - DOH Open Data NY - DOH

created Mar 09, 2013

updated Mar 10, 2015

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Description

The column chart shows performance measurement rates for adult health managed care by payer. The chart can be filtered by measurement year or measure by changing these options under the Filter tab. The chart uses statewide average rates of all insurance plans. Removing the statewide average filter is not recommended. For more information, check out http://www.health.ny.gov/health_care/managed_care/reports/quality_performance_improvement.htm, or go to the "About" tab.

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Health
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Tags
managed care, medicaid, plan performance, quality-safety-costs
Row Count
21
Dataset Summary
Organization
Office of Quality and Patient Safety
Time Period
Beginning 2008
Posting Frequency
Annual
Data Frequency
Annual
Dataset Owner
Bureau of Quality Measurement and Improvement
Coverage
Statewide
Granularity
Health Plan
Units
Rates and Percentages
Notes
Notes
Plan-specific rates (percentages) are accompanied by a symbol to denote whether the plan's rate is statistically above (+) or below (-) the statewide average. When comparing plan rates and associated significance ratings, you may notice plans that have the same numerical rating, but a different significance rating. While this may seem like an error, plan significance ratings are based on how much a plan's rate differs from the statewide average and the number of individuals included in the rate. Therefore, plans can have the same rate but have different significance ratings because their rates are based on different numbers of enrollees.
Disclaimers
Limitations
Not all measures are collected each year. Some services require more resource intensive methods of collection, and these measures are collected every other year to reduce the burden associated with reviewing patient records. Refer to the Health Measures Descriptions document to learn about the specific measures included in this dataset. Measure specification changes and health plan mergers and closures preclude the ability to trend this data over time. Please use caution when attempting to compare measures and/or health plans over time.
Dataset Information
Agency
Health, Department of

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